Vertical Equity in Health Care Resource Allocation

Health Care Analysis 8 (3):203-215 (2000)
  Copy   BIBTEX


This paper introduces this mini-series on vertical equity in health care. It reflects on the fact that by and large equity policies in health care have failed and that there is a need for positive discriminationto promote equity better in future. This positive discrimination is examined under the heading of`vertical equity'. The paper considers Varian's notion of 'envy' as a basis for equity in health care but concludes that this is not a helpful route to go down. Better it would seem to pursue the idea from Sen of 'freedoms' and 'communitarian claims' (as raised previously by this author). While it is argued that procedural justice is to be preferred in the longer run as a basis for equity there are gains in adopting a short run goal of promoting distributive justice. Some preliminary evidence is presented on the weighting of health gains to reflect such vertical equity concerns.



    Upload a copy of this work     Papers currently archived: 91,349

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Free choice, equity, and care: The moral foundations of health care.Chan Ho-mun - 1999 - Journal of Medicine and Philosophy 24 (6):624 – 637.
Does it really care? The Harvard report on health care reform for Hong Kong.Julia Tao Lai Po-wah - 1999 - Journal of Medicine and Philosophy 24 (6):571 – 590.
Managed care: How economic incentive reforms went wrong.Madison Powers - 1997 - Kennedy Institute of Ethics Journal 7 (4):353-360.
Health equity and social justice.Fabienne Peter - 2001 - Journal of Applied Philosophy 18 (2):159–170.
Broadening the bioethics agenda.Dan W. Brock - 2000 - Kennedy Institute of Ethics Journal 10 (1):21-38.
Equity and public health care in china.Ren-Zong Qiu - 1989 - Journal of Medicine and Philosophy 14 (3):283-287.


Added to PP

46 (#336,891)

6 months
1 (#1,533,009)

Historical graph of downloads
How can I increase my downloads?